Okaloosa County BOCC — December 2, 2014 — Admin Building - Deductive Change Order 14-06 — reading text

delivery schedwe or any other contract requirements under any circumstances. Receipt and acceptance of materinis will winain the responsibility of dhe subcontractor, Tue ODP progtam is fbr tax savings purposes ONLY, Sperlat Jostructions or Directions BRIEF DESCRIPTION OF MATERIALS | Stonn, ewer, waler pipe and supplies per anhalt pore ; d . ~ Associated Sales Tax (626) aoe “3032.84 Fright $008 0 SaE0: “TOTAL AMOUNT] (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) Subcontractor's Authorized Sigualart: Printed Name: Lord & Son's Authurized Signature: i: wa Printed Name: Dave Burleson, ~~ Total wit Tax & Fright —ssgesei~ 5.3575, 2P ww" OKALOOSA COUNTY SEND ALL INVOICES TO: 302 N Wilson Street, Suite 203 Crestview, Florida 32536 OKALOOSA COUNTY FINANCE DEPARTMENT PURCHASE ORDER NO, 21500217-2 BOARD OF COUNTY COMMISSIONERS PAGE NO. 1 FLORIDA SALE TAX EXEMPT #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 v[ 21500095 FAX: 662-842-7814 " | § [ oALOOSA COUNTY ~T TUPELO CONCRETE PRODUCTS, INC. | ADMINISTRATION BUILDING D iapero Ms ieee en P 1250 EGLIN PARKWAY QO SHALIMAR, FL. 32579 RL J $l _l ATTN: | | | id ORDER DATE: 11/13/14 BUYER: NATHANTEL REQ. NO. p1500330 | REG. DATE: 11/26/14 “TERMS: NET 30 DAYS [F.0.8.: DESTINATION _ “[DESC.:_ . __ ] j . “____ DESCRIPTION [EXTENSION treme] QUANTITY [| UOM | NER DIRECT DURCHAS JRRESPONDING ATTACHMENTS | ACCOUNT AMOUNT PROJECT CODE 58,668.01 58,668.00 PAGE TOTAL §_ TOTAL ¢ 3160 3160 562132 562132 >00 58,668.00 QA-012 otis biewe 098,003, 056 Purchase Requisition for ODP Materials Fata: 14/6/2014 PRE i iors PO a (io be completed by Lord. & Son} (To be sompisted by Owe) [Project Name: Okaloosa County Administration Building Ship ‘To Address: fect Nes 1217 Contract #: Ci2-1998-FM 1250 Bglin Patkway Shalimar, FL 32579 Delivery Date: TED VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION lame: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1304 Lewis Tumer Blvd, Suite 100 Fax 850-689-5630 Fort Waltn Beach, FL 32547 _Don Tumer, Director of Facilities Maintenance Lord & Son Constrnction, Tne, Phone! 850-863-5158 (9 David Street Foc 850-862-4904 Fort Walton Beach, FL 32547 Daye Burlesin abcontractor Information Emait dave@lordandson.com jamie: General Masomry of NW FL, Inc, Phone: 850-244-2901 Address; PO Box 1747 Fax 850-244-4335 Fort Walton Beach, FL 32549 ke M.DaviiBrck . Emaik david @zeneralmasonry.gecoxmnall.com Vendor Information _— pein sine Phone: (205-935-8100 Addreas: 120 Industrial Road North - Fac 662-842-7814 ‘Tupelo, MS 38801 Contact; «= Jon Nickolson Email: Inickolson@diy2-4.com Owner diréct purchases shell not relieve the subcontractor of delivery schedule or any other contract requirements. under nay circumstances, Receipt and acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tex savitigs purposes ONLY, . [Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT] ARCHITECTURAL CMU G Mlbibef hetzie PO. Amount P ) Associated Sates Tax (62%) 93,520.08 Frcight____ 90.8 | ‘Total with Tax & Freight $62,198.08 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here} Subcontractor's Authorized Signaturer MN Breet Babe. Printed Name: eer PAVID BAACIK Lord & Son's Authorized Signature: erp Printed Name: Dave Busesof” Fez Cy Hin o28 OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT 302 N Wilson Street, Suite 203 Crestview, Florida 32536 PURCHASE ORDER NO. 21500213-1 PAGE NO. 1 FLORIDA SALE TAX EXEMPT #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 v[ 20801770 FAX: 850-864-6630 | Hf [ oxanoosa county | E AEROMECHANICAL INC. I ADMINISTRATION BUILDING D GULF BREEZE FL 32562 Po yase an sae QO SHALIMAR, FL. 32579 ; RL JI ol | ATTN: if ORDER DATE: 3.4 /13/14 |BUYER: NATHANTEL REQ. NO.:R1500334 |REQ. DATE: 11/36/14 TERMS: NET 30 DAYS [F.0.B.: DESTINATION [DESC.: tema QUANTITY [ UoM [ DESCRIPTION [_UNIT PRICE EXTENSION ACCOUNT AMOUNT PROJECT CODE 65,390.00 65,390.00 PAGE-TOTAL $ TOTAL $ 3160 3160 -00 65,390.00 GA-013 562132 562132 Kens Morn 048 069 356 AUTHORIZED/APPROVED SIGNATURE Purchase Requisition for ODP Materials Date: il-F-)4 POR {To ba completed by Owaer) Project Name: Okaloosa County Adminisiration Building Ship To Address: Project New 12270 Contract #: C12-1995-FM 1250 Belin Parkway ENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TED Owner Information Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Bivd. Suite 100 Fax: 350-689-5630 Fort Walin Beach, FL 32547 Contact: Don Turner, Director of Fucilities Maintenance Ensil: facinfo .okaloosa:fi.us onstruction Manager (Contractor) Information Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address; 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: _ Dave Burleson Email: dave@lordandson. Subcontractor Information pNarne: Bayou Mechanical, Inc. Phone: 850-682-2784 Address: POBox 36 Fox: 850-682-8757 Crestview, FL 32536 . entact: _ Reapan Huff Emait _ bavournech@aol.com endor Information lame: Asromechanical, Inc, , Phone: 850-932-2011 Address: 5926 Gulf Breeze Phy Fax 850-932-9362 Gulf Breeze, FL 32563 Belinda Bucki Ema: _ bbuckley@aero-mech.net yaner direct purchases shall not relieve the subcontractor of delivery schedule or any other contact requirements under say circumstances, and ce of materials will remain the lity of the subcontractor, ‘Ths ODP program is for tax savings purposes ONLY. _ Bpecial Instructions or Directions [BRIEF } DESCRIPTION OF MATERTALS : : | Mulls Asayolia Aefluners , Freight $0.90 é 4 ae On nn . ‘ye ete PO Amount__ $65,390.00) Barmptrs , Yr* fo rm ‘ Associated Sales Tax (6%) $3,923.40) Cpe attache cbt) aE ETT ve 4 Subcontractor's Authorized Signature: . Aes f Frinted Name: Reagan Ht Op us bow Lord & Son's Authorized Signature: v7) 4 ¥ Printed Name: Dave Burleson OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT 302 N Wilson Street, Suite 203 Crestview, Florida 32536 PURCHASE ORDER NO. 21500214-1 PAGE NO. 1 FLORIDA SALE TAX EXEMPT #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 [20501543 “| &P oxatoosa counry “| v E LIEBERT CORPORATION H N ¢/o DP TECHNOLOGIES INC. P D435 BELLE CHASE DRIVE R | PENSACOLA FL 32506 1 § ADMINISTRATION BUILDING 1250 BEGLIN PARKWAY SHALIMAR, FL. 32579 L. a ATTN: 4 ORDER DATE: 1 7,/13/14 |BUYER! NATHANT ET. REQ. NO.: R1500332 REQ: DATE: 11/36/14 [DESC.: TERMS: NET 30 DAYS [F.0.8: DESTINATION UNIT PRICE EXTENSION TreM#| QUANTITY | UOM ~_DESCHIPTION Sao cS CEN ACCOUNT AMOUNT prouectcone [PAGETOTAL § 38,000.00 3160 562132 -60 3160 562132 38,000.00 GA-014 TOTAL $ 38,000.00 - AUTHGRIZED/APPROVED SIGNATURE SK Here 048, 070, 056 Purchase Requisition for ODP Materials Date: Poy a . Re bed. bt deform PO# : HM-F-4 (To be completed by Latd & Son) (To be completed by Owner) | Project Name: Okaloosa County Administration Building Ship To Address: a Project No.: 12170 Contract #: Ci2-1995-FM 1250 Eglin Parloway, INDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 : Delivery Date: TeD Owner Information lame: Okaloosa County Board of County Commissioners Phone; 850-689-5790 Address; 1804 Lewis Torner Blvd. Suite 100 Fox: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Tumer, Director of Facilities Maintananca Email: facinfa@co.okaloosa flus ‘onstruction Manager (Contractor) Information Narae: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Streat Fen 850-862-4904 Fort Walton Beach, FL. 32547 Comect: Dave Burleson . Email: dave@lordandson.com Subcontractor Information Name: Bayou Mechenical, Enc, Phone: 850-682-2784 Address: POBox 36 Fax: 850-682-8757 Crestlew, FL 32536 ‘ontact: —_ Reasnn Hinff Eauail: bayournech@aol.com vendor Information ' Name: ‘Liebert Corp c/o DP Technologies, Inc. Phone: 850.969.0855 = Address; POBox 36386 Fax: 850-969-0851 Pensarola, FL 32516 Jeff jeff@dptechine.com direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any choumstances. int andl cS of materdals will remain the responsibility of the subcontracior, The ODP —— Instructions ar Directions ‘BRIEF DESCRIPTION OF MATERIALS Kebodt pS 7, Piette ys Crebves Jaan got 80.00) ' PO Ane S000] ope atachef) AHEAD >) ‘Associated Sates Tax (6%) $2,280.00 Total with Tax & Freight $40,280.00! lier quote which equals PO Amount shown! Ob: Opp Subeo sathorized Signature: A tin ncaa ReaganHut 4” Lord & Son's Authorized Signature: Po) OF 4 Printed Name: Dave Burleson OKALOOSA COUNTY SEND ALL INVOICES TO: 302 N Wilson Street, Suite 203 Crestview, Florida 32536 OKALOOSA COUNTY FINANCE DEPARTMENT PURCHASE ORDER NO. 21500215-1 BOARD OF COUNTY COMMISSIONERS : PAGE NO. 1 FLORIDA SALE TAX EXEMPT #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 v[ 21000286 FAK: 850-244-3186 ~] 8 [” oxatoosa couNTY 7] & -MINGLEDORFF’S INC | ADMINISTRATION BUILDING D Re oRoge aa aan oe P 1250 EGLIN PARKWAY fa) : , SHALIMAR, FL. 32579 RL - $l | ATIN: ; Lf { ORDER DATE: 11/13/14 BUYER: NATHANTET, REQ. NO:: R1500333 REQ. DATE: 11/26/14 TERMS: NET 30 DAY: |F.0.8.: DESTINATION [DESC.: j ; rreMal UNIT PRICE EXTENSION WANTITY 1M DESCRIPTION Be ACCOUNT AMOUNT PROJECT cope |PAGE-TOTAL $ "20; 850.00 562132 562132 13160 3160 .00 20,850.00 ¢ TOTAL § 20,850.00 PA-O15 i nr Ler 04%, 071,056 AUTHORIZED/APPROVED SIGNATURE Purchase Requisition for ODP Materials ee Dates ff F-1¢ PRE: J = POR : queda TS name (To be campleted by Owner} Project Name: Okaloosa County Administration Building Ship To Address: Project No.1 12170 Contract #: C12-1995-FM. 1256 Eptin Parkway ENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FI. 32579 Delivery Dates TED yner Inforntaiion Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Tumor Blvd, Suite 100 Fox: 850-689-5630 Fort Walin Beach, FL 32547 . Kontact Don Tumer, Director of Facilities Maintenance Ema: __facinfe@co.okaloosa fi.us Jonstruction Manager (Contractor) Information : Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Foo 850-862-4904 Fort Walton Beach, FL 32547 (Contact: Dave Burleson . Eval: _dave@lordandson.com Subcontractor Information Namie: Bayou Mechanical, inc, Phone: 850-682-2784 Address; POBox. 36 Fax: 850-682-8757 Crestview, FL 32536 ‘ontact! Reagan Hat? Email; bayoumech@aol.com endor Information " Nome: Mingledorfis Phone —- 251-602-4346 Address: 30020 County Road 49 Fax 253-964-2712 Losley, AL 36551 Wea Harpole harpole@mingledorfis.com wner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any cixcamstances, band uge of materials will yemain thé re’ ofthe mbcontractor, The ODP. is fortaxt ses ONLY. | SSpecial Instractions or Directions IBRIEF DESCRIPTION OF MATERIALS Matetial Arnount, $20,250.00 Freight - $0.00; FO Amount al = Cutelerz. AG unka indete rallies jx aed sae tes 8. SIRS “Si25), nuts , Ortarthe ‘Total with Tax & Freight, zo Cpe atladled AtiL » ‘Attach detailed material price list or vendor/supplier 4 Subcontractors Authorized Signature (orp ty Opp Printed Name: ‘Reagan Huff gunk Lawn Lord & Son's Authorized Signature: & Wie O49 Printed Name: Dave Burleson quote which equals PO Amount sh OKALOOSA COUNTY PURCHASE ORDER NO. 21500216-1 BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT PAGE NO. 1 302 N Wilson Street, Suite 203 FLORIDA SALE TAX EXEMPT Crestview, Florida 32536 #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 v[ 20801526 FAX: 251-665-2920 | BT oKALOOSA COUNTY d E TRANE U.S. INC |